NASHP Model Act to Limit Out-of-Network Provider Rates
NASHP
NOVEMBER 9, 2022
This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area. 1) Definitions.
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